Whalio Doctors

NPI 1003200692

Courtney M Quast, LPCSAC

Practitioner Professional Counselor Fort Atkinson, WI

Practice location

Address
201 Park St, Fort Atkinson, WI 53538
Phone
(920) 563-9542
Fax
(920) 568-6047
Mailing address
PO Box 249, Fort Atkinson, WI 53538-0249

Registered specialties (4)

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 5992-125 (WI)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 17387-130 (WI)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 16144-131 (WI)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 1345-266 (WI)

Registry record

NPI
1003200692
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Mar 2015
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.